Rental Application 10-2017

Desired Move In Date

MonthDayYear

Property Address you wish to lease

Address

Full Name

First NameLast Name

E-mail

Phone Number

Area CodePhone Number

Date of Birth

MonthDayYear

Social Security Number

Ex: 555-22-5555

Names, ages, and relationship of anyone else who will occupy the property*

Do You Have Pets*

Do you or any other occupants smoke?*

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Monthly Payment Amount*

Move In Date of current residence*

MonthDayYear

Reason for vacating*

Landlords Name*

First NameLast Name

Present Landlord’s Phone*

Area CodePhone Number

YesNo

Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Monthly Payment Amount*

Move In Date

MonthDayYear

Move Out Date

MonthDayYear

Reason for vacating

Previous Landlord

First NameLast Name

Previous Landlord's Phone*

Area CodePhone Number

YesNo

YesNo, landlord kept a portionNo, landlord kept entire deposit

YesNo

Current Employer*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Occupation*

Length of Employment*

Current salary range*

Pay Stub (Optional but you may be asked to provide this later)

Upload a File

Do you have any other sources of income? Examples: government assistance, child support, etc... please list MONTHLY amount received

Previous Employer*

Please include address, phone number, and your job title

Employment Duration in months*

Monthly Income Previous Employer

Previous Employer 2

Please include address, phone number, and your job title

Employment Duration in months

Monthly Income Previous Employer 2

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Relationship

Phone Number

Area CodePhone Number

E-mail

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Relationship

Phone Number

Area CodePhone Number

E-mail

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Relationship

Phone Number

Area CodePhone Number

E-mail

Any dishonesty in this section will result in an immediate rejection of the application. We do verify all info through an independent third party. We understand bad things happen to good people, and answering honestly in this section will not result in an automatic rejection. A discovery after the fact will also be grounds for termination of the lease at any time, at the owners option.

YesNo

If you answered yes to any of the questions in this section please explain?

YesNo

If you answered yes to any question in this section, please explain and include the date of the offense

Checking Account (1) Bank Name (2)

Savings Account (1) Bank Name (2)

Any other asset accounts if applicable (1) Bank Name

Do you have a Car Loan? if Yes, (1) current total balance (2) monthly payment (3) bank/lender name

Any other monthly expenses or obligations? Example: child support or other

YesNo

How would you rate your credit?

What is your Current Credit Score*

YesNo

Please list ALL vehicles to be stored at property (1) make/model/year (2) color (3) license plate

Any other info you would like to include

These are optional fields, made available should you want to upload any supporting documentation. Examples could be a credit report, copy of photo id, etc...

By typing your name below. You agree to the following terms.

I hereby authorize the property owners, it's employees, agents, and third parties (I.E. Complete Screening Inc or others) to take any and all actions necessary to verify the contents of this application. I understand that such actions may include but are not limited to, a credit report, verification of employment, past rental history, police and criminal records, I will hold the property owner, it's employees, agents and third parties harmless from liability for the accurate reporting of such information to the management and/or owners. I also consent to allowing the property owner/manager/agents to use any information provided here to assist in debt collection activities if required. I certify that all information provided by me is true, correct, and complete and I understand that any misrepresentation or omission is caused for the management and/or owners to reject or decline this application and/or terminate any lease based on this application.

I also understand that this application may be subject to an application fee before a final determination is made. Failure to make the required payment (if required) within 3 days following the application submission will result in an automatic rejection. No communication of that rejection will be given, but shall be implied.

By Typing your name to the right you state that you have read and agree to the terms above.

Today's Date

MonthDayYear

Rental Application

Tenant Information

Current Rental/Residence History

Previous Rental/Residence History

Present Employment/Income Information

Present Employment/Income Information

Next of Kin\Emergency Contact (must be family)

Next of Kin\Emergency Contact 2 (must be family)

Next of Kin\Emergency Contact 3 (no family requirement)

Rental History Information

Criminal Record/History

Financial Information

General Information

Additional Document/Upload Opportunity

Legal Authorization to conduct a credit/background check, or otherwise verify the information you provided.